Provider Demographics
NPI:1740480151
Name:BUNAR, LILE (DDS)
Entity type:Individual
Prefix:DR
First Name:LILE
Middle Name:
Last Name:BUNAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22461 ANTONIO PKWY
Mailing Address - Street 2:SUITE A-135
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2806
Mailing Address - Country:US
Mailing Address - Phone:949-589-3344
Mailing Address - Fax:949-589-7119
Practice Address - Street 1:22461 ANTONIO PKWY
Practice Address - Street 2:SUITE A-135
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2806
Practice Address - Country:US
Practice Address - Phone:949-589-3344
Practice Address - Fax:949-589-7119
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice